STATEN ISLAND UNIVERSITY HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
STATEN ISLAND UNIVERSITY HOSPITAL (EIN 11-2868878)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-19
IRS object ID
201813239349300211
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-19T09:13:47-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN112868878EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STATEN ISLAND UNIVERSITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% NORTHWELL HEALTH INCInCareOfNm
Business Name ControlSTATBusinessNameControlTxt
Phone5163216058PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW ROAD Suite 5TH FLRAddressLine1Txt
CityWESTBURYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11590ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELE L CUSACKPersonNm
Person TitleSVP & CFOPersonTitleTxt
Phone5163216058PhoneNum
Signature2018-11-01SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonED BOCHYNSKI AVPPreparerPersonNm
Preparation2018-11-01PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address69.27.229.128IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id12789920183195000000FederalOriginalSubmissionId
Federal Original Submission Id2018-11-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id64888C196846E503F90B13161ED1827B039267C6AtSubmissionCreationDeviceId
At Submission Filing Device Id0CD7CF4964C06A5C296622734294A70AD3EA8837AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL J DOWLINGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 MARCUS AVENUEAddressLine1Txt
CityNEW HYDE PARKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11042ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,224,376,463GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHWELL.EDUWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1869FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionStaten Island strives to improve the health of the communities it serves and is committed to providing the highest quality of care for the community regardless of ability to payActivityOrMissionDesc
Voting Members Governing Body31VotingMembersGoverningBodyCnt
Voting Members Independent26VotingMembersIndependentCnt
Total Employee6815TotalEmployeeCnt
Total Volunteers892TotalVolunteersCnt
Total Gross UBI$5,804,493TotalGrossUBIAmt
PY Contributions Grants$4,374,104PYContributionsGrantsAmt
CY Contributions Grants$4,690,708CYContributionsGrantsAmt
PY Program Service Revenue$881,230,748PYProgramServiceRevenueAmt
CY Program Service Revenue$909,725,780CYProgramServiceRevenueAmt
PY Investment Income$10,947,618PYInvestmentIncomeAmt
CY Investment Income$16,943,211CYInvestmentIncomeAmt
PY Other Revenue$18,173,803PYOtherRevenueAmt
CY Other Revenue$17,623,629CYOtherRevenueAmt
PY Total Revenue$914,726,273PYTotalRevenueAmt
CY Total Revenue$948,983,328CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$516,156,063PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$558,085,727CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$291,082CYTotalFundraisingExpenseAmt
PY Other Expenses$356,981,570PYOtherExpensesAmt
CY Other Expenses$332,361,231CYOtherExpensesAmt
PY Total Expenses$873,137,633PYTotalExpensesAmt
CY Total Expenses$890,446,958CYTotalExpensesAmt
PY Revenues Less Expenses$41,588,640PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$58,536,370CYRevenuesLessExpensesAmt
Total Assets BOY$937,716,741TotalAssetsBOYAmt
Total Assets EOY$985,695,702TotalAssetsEOYAmt
Total Liabilities BOY$484,709,149TotalLiabilitiesBOYAmt
Total Liabilities EOY$434,904,396TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$453,007,592NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$550,791,306NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSTATEN ISLAND UNIVERSITY HOSPITAL IS AN AFFILIATE WITHIN NORTHWELL HEALTH, INC. ("NORTHWELL"), WHICH STRIVES TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CLINICAL CARE; EDUCATING THE CURRENT AND FUTURE GENERATIONS OF HEALTHCARE PROFESSIONALS; SEARCHING FOR NEW ADVANCES IN MEDICINE THROUGH THE CONDUCT OF BIOMEDICAL RESEARCH; PROMOTING HEALTH EDUCATION; AND CARING FOR THE ENTIRE COMMUNITY REGARDLESS OF THE ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$621,979,275ExpenseAmt
Grant$0GrantAmt
Revenue$745,099,912RevenueAmt
DescSTATEN ISLAND UNIVERSITY HOSPITAL PROVIDES ACUTE CARE HOSPITAL SERVICES AT TWO FACILITIES IN RICHMOND COUNTY. NORTH AND SOUTH SITE CAMPUSES PROVIDE SERVICES IN CARDIOLOGY, BURN CARE, TRAUMA, ORTHOPEDICS, ONCOLOGY, GERIATRICS, OBSTETRICS, PEDIATRICS, REHABILITATION, PRIMARY CARE, COMMUNITY OUTREACH, HOSPICE, AND HOME CARE REGARDLESS OF ABILITY TO PAY. IN 2017 THE COMBINED CAMPUSES OF THE HOSPITAL HAD 38,971 DISCHARGES, (EXCLUDING NORMAL NEWBORN DISCHARGES); 2,462 DELIVERIES; 126,094 EMERGENCY DEPARTMENT VISITS (includes 29,271 admits); AND 18,101 AMBULATORY SURGERY CASES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$86,098,345ExpenseAmt
Grant$0GrantAmt
Revenue$86,687,129RevenueAmt
DescEXPENSES INCURRED IN PROVIDING EMERGENCY DEPARTMENT SERVICES TO ALL INDIVIDUALS, 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR, IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$51,593,246ExpenseAmt
Grant$0GrantAmt
Revenue$17,681,397RevenueAmt
DescEXPENSES INCURRED IN PROVIDING CLINICAL SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$25,604,651TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$60,257,342TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$785,275,517TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document251IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee6815EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members31GoverningBodyVotingMembersCnt
Independent Voting Member26IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNORTHWELL HEALTH INCPersonNm
Phone5163216058PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1972 BRUSH HOLLOW RDAddressLine1Txt
CityWESTBURYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11590ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL J DOWLING
PRESIDENT & CEO0.050.0Yes (X)Yes (X)$0$4,041,927$54,840
RALPH NAPPI
trustee and evc0.050.0Yes (X)Yes (X)$0$995,438$48,848
MARK L CLASTER
CHAIRMAN0.03.0Yes (X)Yes (X)$0$0$0
NON-COMPENSATED TRUSTEES
SEE SCHEDULE 00.02.0Yes (X)$0$0$0
RICHARD D GOLDSTEIN
immediate past chairman0.02.0Yes (X)Yes (X)$0$0$0
BARRY RUBENSTEIN
VICE CHAIRMAN0.02.0Yes (X)Yes (X)$0$0$0
WILLIAM L MACK
VICE CHAIRMAN0.02.0Yes (X)Yes (X)$0$0$0
ALAN I GREENE
TREASURER0.02.0Yes (X)Yes (X)$0$0$0
DONALD ZUCKER
SECRETARY0.02.0Yes (X)Yes (X)$0$0$0
ANTHONY FERRERI
EVP/CHF AFFILIATION OFF0.050.0Yes (X)$0$1,204,847$48,848
HARRY GINDI
ASSISTANT SECRETARY0.050.0Yes (X)$0$356,152$48,821
Laura Peabody
SVP & Chief Legal Officer0.050.0Yes (X)$0$1,058,897$222,944
ROBERT S SHAPIRO
EVP, CHIEF FINANCIAL OFFICER0.050.0Yes (X)$0$1,649,071$48,848
MARK J SOLAZZO
EVP, CHIEF OPERATING OFFICER0.050.0Yes (X)$0$2,473,309$782,518
HOWARD B GOLD
EVP, CHF MGD CARE0.050.0Yes (X)$0$1,779,494$48,495
LAWRENCE G SMITH MD
EVP & PHYSICIAN IN CHIEF0.050.0Yes (X)$0$1,329,674$50,048
JEFFREY KRAUT
EVP, STRATEGY & ANALYTICS0.050.0Yes (X)$0$1,310,075$557,633
MICHELE CUSACK
SVP & CFO0.050.0Yes (X)$0$1,071,679$149,487
RICHARD MILLER
EVP & Chf Business Strategy Of0.050.0Yes (X)$0$1,109,260$218,236
LAURENCE KRAEMER
SVP, Interim Chf Lgl Of0.050.0Yes (X)$0$879,404$58,123
MARK GLOADE
SVP Deputy GnCnsl & Asst Sec0.050.0Yes (X)$0$576,726$58,123
KATHLEEN GALLO RN PHD
SR VP & CHF LEARNING OFFICER0.050.0Yes (X)$0$934,879$48,848
DONNA DRUMMOND
SVP, CONSOLIDATED SERVICES0.050.0Yes (X)$0$951,732$254,399
EUGENE S TANGNEY
svp chf admin officer0.050.0Yes (X)$0$1,260,472$300,149
GREGORY RADINSKY
VP/CHF COMPLIANCE OFF NORTHWEL0.050.0$0$551,872$58,082Yes (X)
THOMAS RECA
EXEC VP/FINANCE & CFO50.00.0$748,231$0$47,682Yes (X)
DONNA PROSKE
EXECUTIVE DIRECTOR50.00.0$919,050$0$39,228Yes (X)
EDWIN CHANG
DIR, NEUROSURGERY50.00.0$1,126,757$0$59,377Yes (X)
JONATHAN DEITCH
DIR, VAS/ENDO SURGERY50.00.0$1,166,550$0$39,228Yes (X)
RUBEN KANDOV
PHYSICIAN50.00.0$1,064,880$0$56,279Yes (X)
MOHAMMED IMAM
Chair, Cardiothoracic Surgery50.00.0$1,554,075$0$33,547Yes (X)
THEODORE STRANGE
VP, Operations-South Site50.00.0$1,028,096$0$56,279Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,607,639TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$23,534,908TotReportableCompRltdOrgAmt
Total Other Compensation$3,388,910TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1325IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LITESPEED ELECTRIC INC
135 W 29TH STNEW YORKNY10001ELECTRICAL CONTRACT$1,078,709
ESOTERIX GENETIC LABORATORIES LLC
PO BOX 223614PITTSBURGHPA15251LAB SERVICES$1,074,035
WHR ARCHITECTURE PC
1111 LOUISIANA FLOOR 26HOUSTONTX77002ARCHITECT SVCS$861,300
EMPIRE STATE MED SCIENTIFIC ED FD
100 WEATHERBRIDGE DRCAMILLUSNY13031CONSULTING SVCS$740,698
CENTRAL CONSULTING AND CONTRACTING
34 CLINTON STNEWAKRNJ07102CONSULTING SVCS$704,602
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K62CntrctRcvdGreaterThan100KCnt
Related Organizations$427,697RelatedOrganizationsAmt
Government Grants$3,567,901GovernmentGrantsAmt
All Other Contributions$695,110AllOtherContributionsAmt
Total Contributions$4,690,708TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE621300$671,523,543$665,719,050$5,804,493
MEDICARE/MEDICAID PAYMENTS621300$229,194,818$229,194,818
PHYSICIAN REVENUE621300$1,701$1,701
DSRIP PAYMENTS621300$9,005,718$9,005,718
FieldValueIRS element (for citing)
Total Program Service Revenue$909,725,780TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,618,483TotalRevenueColumnAmt
Exclusion$5,618,483ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,837,370RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,837,370RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,837,370TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$286,717,863SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$275,393,135SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$11,324,728SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,324,728TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
CAPITATION INCOME900099$6,563,622$6,563,622
CAFETERIA900099$2,766,894$2,766,894
FEE INCOME BILLING900099$1,275,723$1,275,723

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,180,020TotalRevenueColumnAmt
Related Or Exempt Func Income$4,667,118RelatedOrExemptFuncIncomeAmt
Exclusion$512,902ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$15,786,259OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$948,983,328TotalRevenueColumnAmt
Related Or Exempt Func Income$916,427,750RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,804,493UnrelatedBusinessRevenueAmt
Exclusion$8,898,279ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,667,281TotalAmt
Program Services$1,667,281ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$420,267,112TotalAmt
Program Services$387,444,251ProgramServicesAmt
Management And General$32,660,622ManagementAndGeneralAmt
Fundraising$162,239FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$27,916,952TotalAmt
Program Services$25,736,638ProgramServicesAmt
Management And General$2,169,537ManagementAndGeneralAmt
Fundraising$10,777FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$78,663,817TotalAmt
Program Services$72,520,173ProgramServicesAmt
Management And General$6,113,277ManagementAndGeneralAmt
Fundraising$30,367FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$29,570,565TotalAmt
Program Services$27,261,104ProgramServicesAmt
Management And General$2,298,046ManagementAndGeneralAmt
Fundraising$11,415FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$4,523,112TotalAmt
Program Services$4,169,857ProgramServicesAmt
Management And General$353,255ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$165,913TotalAmt
Management And General$165,913ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$216,731TotalAmt
Management And General$216,731ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$47,517,573TotalAmt
Program Services$43,806,450ProgramServicesAmt
Management And General$3,692,779ManagementAndGeneralAmt
Fundraising$18,344FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,109,103TotalAmt
Program Services$1,022,482ProgramServicesAmt
Management And General$86,193ManagementAndGeneralAmt
Fundraising$428FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$142,472,925TotalAmt
Program Services$131,345,790ProgramServicesAmt
Management And General$11,072,135ManagementAndGeneralAmt
Fundraising$55,000FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,520,948TotalAmt
Program Services$11,543,062ProgramServicesAmt
Management And General$977,886ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$483,613TotalAmt
Program Services$483,613ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,161,688TotalAmt
Program Services$1,161,688ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,497,421TotalAmt
Management And General$3,497,421ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$26,817,491TotalAmt
Program Services$24,723,045ProgramServicesAmt
Management And General$2,094,446ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,927,323TotalAmt
Program Services$12,927,323ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
CENTRALIZED ADMIN. SVCS.$38,895,996$38,895,996
BAD DEBT EXPENSE$9,265,679$9,265,679
PURCHASED SERVICES$23,248,800$23,248,800
DUES & SUBSCRIPTIONS$1,030,829$80,508$950,321

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,506,086TotalAmt
Program Services$5,997,960ProgramServicesAmt
Management And General$505,614ManagementAndGeneralAmt
Fundraising$2,512FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$890,446,958TotalAmt
Program Services$785,275,517ProgramServicesAmt
Management And General$104,880,359ManagementAndGeneralAmt
Fundraising$291,082FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$62,805BOYAmt
EOY$62,137EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$16,901,532BOYAmt
EOY$2,843,733EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,019,146BOYAmt
EOY$1,417,413EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$124,344,269BOYAmt
EOY$121,681,150EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,979,648BOYAmt
EOY$11,690,143EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,389,315BOYAmt
EOY$2,372,752EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$377,781,926LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$187,015,713LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$202,632,922BOYAmt
EOY$190,766,213EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$490,506,927BOYAmt
EOY$570,473,845EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$87,880,177BOYAmt
EOY$84,388,316EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$937,716,741BOYAmt
EOY$985,695,702EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$103,108,539BOYAmt
EOY$78,308,339EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,256,417BOYAmt
EOY$766,120EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$62,337,262BOYAmt
EOY$4,957,027EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$22,000,000BOYAmt
EOY$18,000,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$4,000,000BOYAmt
EOY$4,000,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$291,006,931BOYAmt
EOY$328,872,910EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$484,709,149BOYAmt
EOY$434,904,396EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$440,666,927BOYAmt
EOY$538,255,488EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,856,486BOYAmt
EOY$11,051,639EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,484,179BOYAmt
EOY$1,484,179EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$453,007,592BOYAmt
EOY$550,791,306EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$937,716,741BOYAmt
EOY$985,695,702EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$58,536,370ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$45,050,448NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$5,803,104OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$54,186RalliesDemonstrationsAmt
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$54,186TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART 11-B, line 1 hFormAndLineReferenceDesc
ExplanationStaten Island University Hospital IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND OTHER HEALTH CARE ASSOCIATIONS WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,484,179BeginningYearBalanceAmt
End Year Balance$1,484,179EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,484,179BeginningYearBalanceAmt
End Year Balance$1,484,179EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,484,179BeginningYearBalanceAmt
End Year Balance$1,484,179EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,484,189BeginningYearBalanceAmt
Other Expenditures$10OtherExpendituresAmt
End Year Balance$1,484,179EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,484,189BeginningYearBalanceAmt
End Year Balance$1,484,189EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,109,323OtherCostOrOtherBasisAmt
Book Value$4,109,323BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$230,678,886OtherCostOrOtherBasisAmt
Depreciation$119,346,675DepreciationAmt
Book Value$111,332,211BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$390,490OtherCostOrOtherBasisAmt
Depreciation$116,045DepreciationAmt
Book Value$274,445BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$130,408,009OtherCostOrOtherBasisAmt
Depreciation$66,305,083DepreciationAmt
Book Value$64,102,926BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,195,218OtherCostOrOtherBasisAmt
Depreciation$1,247,910DepreciationAmt
Book Value$10,947,308BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$190,766,213TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$2,956,294
DEPOSITS$123,225
INSURANCE RECEIVABLE$68,525,594
INVESTMENT IN HEALTHFIRST$12,773,060
INVESTMENT IN VERIZON$10,143
FieldValueIRS element (for citing)
Total Book Value Other Assets$84,388,316TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
PAYABLE TO THIRD PARTY PAYERS$31,695,658
MALPRACTICE LIABILITIES$118,783,580
INSURANCE CLAIMS LIABILITY$68,525,594
DUE TO RELATED PARTIES$16,649,495
OTHER LIABILITIES$36,266,827
ASSET RETIREMENT BENEFITS$2,466,924
2017 TAXABLE BOND$54,903,813
BOND FINANCING-$418,981
FieldValueIRS element (for citing)
Total Liability$328,872,910TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$978,295,739TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$45,050,448NetUnrealizedGainsInvstAmt
Other Revenue-$14,510,678OtherRevenueAmt
Revenue Not Reported$30,539,770RevenueNotReportedAmt
Revenue Subtotal$947,755,969RevenueSubtotalAmt
Other Revenues Not Included$1,227,359OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,227,359RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$948,983,328TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$881,785,870TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$881,785,870ExpensesSubtotalAmt
Other Expenses Not Included$8,661,088OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$8,661,088ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$890,446,958TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V - Line 4ENDOWMENT FUNDS INCLUDED IN PERMANENTLY RESTRICTED NET ASSETS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES.
Part X, LINE 2Certain entities included in Northwell's consolidated financial statements are taxable entities under Federal or state laws. U.S. generally accepted accounting principles require that the asset and liability method of accounting for income taxes be utilized by these organizations and for unrelated business activities for the tax-exempt entities. Under the asset and liability method, deferred income taxes are recognized for the tax consequences of temporary differences by applying enacted statutory tax rates applicable to future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities. The effect on deferred taxes of a change in tax rates is recognized in income in the period of enactment. At December 31, 2017 and 2016, Northwell has a deferred income tax asset OF approximately $123,000,000 and $142,000,000, respectively, both of which have been fully offset by a related valuation allowance. A valuation allowance is provided when it is more likely than not that some portion or all of the deferred tax asset will not be realized. Significant components of the deferred tax asset relate to the allowance for doubtful accounts and net operating loss carryforwards. Certain entities have net operating loss carryforwards aggregating approximately $573,000,000, which expire in varying amounts through 2037, and are available to offset future taxable income.
PART XI-LINE 2D & 4BNET ASSETS RELEASED FROM RESTRICTIONS 585,067 NONOPERATING GAIN/LOSS (5,797,921) PROVISION FOR BAD DEBTS (9,265,679) NON-OPERATING NET PERIODIC BENEFIT (32,145) TOTAL (14,510,678)) PART XI - LINE 4B TEMPORARY RESTRICTED CONTRIBUTIONS 1,122,807 TEMPORARY RESTRICTED INVESTMENT INCOME 104,552 TOTAL 1,227,359
PART XII, LINE 4BADDITIONAL MINIMUM PENSION (604,591) PROVISION FOR BAD DEBT 9,265,679 TOTAL 8,661,088

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,573,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,564,542DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,008,458NetCommunityBenefitExpnsAmt
Total Expense0.01600TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$229,493,533TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$142,322,344DirectOffsettingRevenueAmt
Net Community Benefit Expns$87,171,189NetCommunityBenefitExpnsAmt
Total Expense0.09950TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$259,066,533TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$157,886,886DirectOffsettingRevenueAmt
Net Community Benefit Expns$101,179,647NetCommunityBenefitExpnsAmt
Total Expense0.11550TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,686,270TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,686,270NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$58,488,125TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,083,574DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,404,551NetCommunityBenefitExpnsAmt
Total Expense0.04610TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,205,291TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,029,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,176,291NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,524,091TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,524,091NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$467,087TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$467,087NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$71,370,864TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,112,574DirectOffsettingRevenueAmt
Net Community Benefit Expns$48,258,290NetCommunityBenefitExpnsAmt
Total Expense0.05500TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$330,437,397TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$180,999,460DirectOffsettingRevenueAmt
Net Community Benefit Expns$149,437,937NetCommunityBenefitExpnsAmt
Total Expense0.17050TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,443TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,443NetCommunityBenefitExpnsAmt

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,510TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,510NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,580TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,580NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$94TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$94NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,347TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,347NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$57,974TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$57,974NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$1,591,714BadDebtExpenseAmt
Reimbursed By Medicare$184,260,725ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$184,514,337CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$253,612MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1STATEN ISLAND PERFORBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesPERFORMING PROVIDER SYSTEMPrimaryActivitiesTxt
Org Profit Or Ownership0.5OrgProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
STATEN ISLAND UNIV HOSPITAL - NORTH
1475 SEAVIEW AVENUESTATEN ISLANDNY10305WWW.NORTHWELL.EDUYes (X)Yes (X)Yes (X)Yes (X)A
STATEN ISLAND UNIV HOSPITAL - SOUTH
2375 SEAVIEW AVENUESTATEN ISLANDNY10305WWW.NORTHWELL.EDUYes (X)Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1STATEN ISLAND UNIV HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.NORTHWELL.EDUOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.NORTHWELL.EDU/ABOUT/OUR-ORGANIZATION/OFFIStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.NORTHWELL.EDUFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.NORTHWELL.EDUFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.NORTHWELL.EDUFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Section C, Supplemental InformationFormAndLineReferenceDesc
ExplanationPart V, Section B, line 2: N/A Part V, Section B, line 3j: N/A Part V, Section B, line 5: The CHNA was facilitated by committees established within each county served by Northwell and its hospitals. These were comprised of participants such as Departments of Health; community based organizations (CBOs); the Northwell; local businesses; and faith-based organizations; and a voice of the community (i.e. the communitys perception of need). Qualitative data was collected from diverse community organizations that serve the population-at-large, as well as those communities with significant health disparities. Community partners were invited to participate via surveys and key informant interviews. Emphasis was placed on the following populations: minorities/underserved communities, seniors, women and children, special populations, and individuals with disease-specific conditions. Primary data was obtained through qualitative analysis of CBO informant interviews, CBO surveys, individual community member surveys, and participation in the collaborative partner listening sessions. For further detail go to web link: Part V, Section B, line 6a: For a detailed listing of other hospital facilities go to web link: https://www.northwell.edu/about/our-organization/office-community-and-publ ic-health/reports Part V, Section B, line 6b: For a detailed listing of other hospital facilities go to web link: https://www.northwell.edu/about/our-organization/office-community-and-publ ic-health/reports Part V, Section B, line 7d: N/A Part V, Section B, line 11: The hospital identified and addressed primary needs based on an assessment of the highest ranked health priorities of the community, regulatory input (i.e. the NYC Department of Health prevention priority agenda), and resources available. For further information go to web link: https://www.northwell.edu/about/our-organization/office-community-and-publ ic-health/reports Part V, Section B, line 13b: N/A Part V, Section B, line 13h: The hospital also uses household size. Part V, Section B, line 15e: N/A Part V, Section B, line 16j: The policy is included in the hospitals Community Service Plan and provided at health fairs and presentations open to the community at no cost, in addition to mailing financial policy summary brochures. Part V, Section B, line 18e: N/A Part V, Section B, line 19e: N/A Part V, Section B, line 20e: Before initiating any of the actions, the hospital facility sends letters, makes telephone calls and utilizes presumptive eligibility. Part V, Section B, line 21c: N/A Part V, Section B, line 21d: N/A Part V, Section B, line 23: N/A Part V, Section B, line 24: N/AExplanationTxt
FieldValueIRS element (for citing)
Facility40FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (40 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Northwell Health Physician Partners
501 Seaview AvenueStaten IslandNY10305Outpatient Physician Clinic
Northwell Health Physician Partners
256 Mason AvenueStaten IslandNY10305Outpatient Physician Clinic
Northwell Health Physician Partners
777 Seaview AveStaten IslandNY10305Outpatient Physician Clinic
Verrazano Imaging at Staten Island Unive
256 Mason AvenueStaten IslandNY10305Diagnostic Center
Northwell Health Physician Partners
450 Seaview AvenueStaten IslandNY10305Outpatient Physician Clinic
Physicians of University Hospital Medici
900 South Avenue - The Glass ParkStaten IslandNY10314Outpatient Physician Clinic
Physicians of University Hospital Medici
584 Forest AvenueStaten IslandNY10310Outpatient Physician Clinic
Breast Image Center
256 Mason AvenueStaten IslandNY10305Diagnostic Center
WIC Program
57 Bay StreetStaten IslandNY10301Outpatient Physician Clinic
Center for Women's Health
440 Seaview AvenueStaten IslandNY10305Outpatient Physician Clinic
Canarsie Multi Service Center
567 East 105th StreetBrooklynNY11236Outpatient Physician Clinic
Coney Island Multi Service Center (Subst
425 Coney Island AvenueBrooklynNY11218Outpatient Physician Clinic
University Physicians Group Medicine at
1776 Richmond RoadStaten IslandNY10306Outpatient Physician Clinic
Northwell Health Physician Partners
2288 Hylan BoulevardStaten IslandNY10306Outpatient Physician Clinic
Physicians of University Hospital Surger
1000 South Avenue - The PlazaStaten IslandNY10314Outpatient Physician Clinic
Pediatric Specialists at Hylan Boulevard
2454-60 Hylan BoulevardStaten IslandNY10306Outpatient Physician Clinic
University Physicians Group Medicine and
65 Rose AvenueStaten IslandNY10306Outpatient Physician Clinic
University Physicians Group Medicine at
1110 South AvenueStaten IslandNY10314Outpatient Physician Clinic
Burn Care Center
500 Seaview AvenueStaten IslandNY10305Outpatient Physician Clinic
University Physicians Group Medicine at
4106 Hylan BoulevardStaten IslandNY10308Outpatient Physician Clinic
Obstetrics & Gynecology at Boro Park
5724 New Utrecht AvenueBrooklynNY11219Outpatient Physician Clinic
Obstetrics & Gynecology at Williamsburg
685 Myrtle AvenueBrooklynNY11205Outpatient Physician Clinic
Chemecal Dependence Treatment Program
111 Water StreetStaten IslandNY10304Outpatient Physician Clinic
Physicians of University Hospital Genera
4287 Richmond AvenueStaten IslandNY10312Outpatient Physician Clinic
Physicians of University Hospital Obstet
4855 Hylan BoulevardStaten IslandNY10312Outpatient Physician Clinic
Department of Opthalmology - Optometry
242 Mason AvenueStaten IslandNY10305Outpatient Physician Clinic
University Physicians Group Medicine at
11 Ralph PlaceStaten IslandNY10304Outpatient Physician Clinic
Physicians of University Hospital Obstet
78 Cromwell AvenueStaten IslandNY10304Outpatient Physician Clinic
Northwell Health Physician Partners
15C Seguine AvenueStaten IslandNY10312Outpatient Physician Clinic
University Physicians Group Medicine at
8012 Third AvenueBrooklynNY11209Outpatient Physician Clinic
University Physicians Group Medicine at
1042 Huguenot AvenueStaten IslandNY10312Outpatient Physician Clinic
Northwell Health Physician Partners
1460 Victory BoulevardStaten IslandNY10312Outpatient Physician Clinic
Metro OBGYN PC
2285 Victory BoulevardStaten IslandNY10314Outpatient Physician Clinic
Northwell Health Physician Partners
1276 74th Street BrooklynStaten IslandNY10312Outpatient Physician Clinic
Northwell Health Physician Partners
1145 Targee StreetStaten IslandNY10304Outpatient Physician Clinic
New Dorp High School (School-Based Clini
465 New Dorp LaneStaten IslandNY10306Outpatient Physician Clinic
Port Richmond High Schoool (School Based
85 Saint Josephs AvenueStaten IslandNY10302Outpatient Physician Clinic
Northwell Health Physician Partners
392 Seguine AvenueStaten IslandNY10309Outpatient Physician Clinic
MMTPHIV Primary Care Services
392 Seguine AvenueStaten IslandNY10309Grant Program Shown Separately
Northwell Health Physician Partners
1534 Victory BoulevardStaten IslandNY10314Outpatient Physician Clinic

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART VI - SUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationQuestion 1: Part I, Line 3c: This hospital is an affiliated entity of Northwell Health Inc. (Northwell). Northwell uses FPG to determine eligibility and utilizes the New York State Department of Health (NYSDOH) guidelines regarding the consideration of assets. Asset tests cannot be used to deny financial assistance, but only to upgrade a patients level of obligation, up to the legal maximum permitted under the financial assistance law. Part I, Line 6a: The Community Benefit report is prepared by the hospital, in conjunction with an affiliated entity (Northwell) of the hospital. The Community Benefit Report is accessible to the public and can be accessed on the Northwell website: https://www.northwell.edu/about/our-organization/office-community-and-publ ic-health/reports. Part I, 7: Row (a) The cost of charity care was determined by utilizing the ratio of cost to charges (RCC) calculated on Worksheet 2 applied to gross charges written off for patients qualifying for charity under the hospitals financial assistance policy. Bad Debt was not reported in any row of Part I, Line 7. Row (b) The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. A RCC is developed from these costs, and that RCC is applied to total Medicaid gross ancillary services charges to determine the cost of services provided to Medicaid patients. Row (e) Costs associated with Community Health Improvement Services were determined by adding indirect or overhead costs to the direct costs of the activity. Indirect costs were calculated as a percentage of direct costs. Direct costs for staff expenses were calculated using average system hourly rates, and were adjusted to account for fringe benefits, using a blended rate based on the ratio of total employee benefit expenses to total salary and wages. Row (f) The Bad Debt Expense that appears on Form 990, Part IX, Line 25 column (A), but not included for purposes of calculating the percentage in this column is equal to the amount reported on Form 990, Part X. The costs related to health professions education were determined by utilizing the step down method of cost finding. Row (h) Costs associated with research activities were determined by adding indirect, or overhead, costs to the direct costs of the activity. Indirect costs were calculated as a percentage of costs. Row (i) The cost of in-kind contributions to community groups is comprised of the direct costs of personnel whose compensated time was donated to various charities and community groups. The salaries and wages were adjusted to include benefits using a rate based on the ratio of total employee benefit expenses to total salary and wages. Indirect costs were calculated as a percentage of direct costs. Column (f) for Rows (c)-(k) The percentage of Net Community Benefit Expense divided by Total Expense for the hospital (to calculate the percent of total expense). Note: For the entire Northwell Health Inc. and affiliates, Part I, Line 7 (Row K, Column F) is approximately 11.96 as a percentage of expenses. Part II: All community building activities improve access to health services and address federal, state, or local public health priorities, as well as leverage public health department activities, and in doing so, they provide relief of government burden. These activities broadly serve low-income, underserved patients, and include: collaboration with various community coalitions, system-wide recycling initiative, organizational response to worldly disasters, and bioterrorism efforts. Northwells bioterrorism & disaster preparedness includes Center for Emergency Medical Services, has a designated Bioterrorism Resource Center, and has conducted staff training for more than 100 hospitals and area first responders and invested heavily in the infrastructure needed for large-scale emergencies. During catastrophes (both natural and terrorism), Northwell provides a safe haven for thousands of patients, outside nursing home residents, and community members seeking shelter. Northwell assists with the transport of patients and stand ready to contribute food, medicine, and blankets for both affiliated and non-affiliated hospital patients. Investment in a field hospital has furthered the public health infrastructure needed for mass casualties that could result from a terrorist attack, natural attack, or large-scale emergency. Part III, Line 2: For patients who were determined by Northwell to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. The amount of gross charges written off is reduced by any charity care or other discounts provided to the patient, as well as any payments received. Bad debt expense reported on this line is reported net of governmental or private offsetting funds. Part III, Line 3: N/A Part III, Line 4: For patients who were determined by Northwell to have the ability to pay but did not, the uncollected amounts are recorded as bad debt expense. Part III, Line 8: Medicare costs are determined utilizing a combination of the step down method of cost findings and a cost per unit of service. Cost per unit of service is used to calculate the routine cost of services provided to Medicare patients. The Ratio of Cost to Charges method (or RCC) is used to determine the cost of ancillary services. An RCC is developed from these costs, and that RCC is applied to total Medicare gross ancillary services charges to determine the cost of services provided to Medicare patients. Part III, Line 9b: The organizations collection policy is standard to all accounts regardless of insurance status (e.g. insured, underinsured, and uninsured). The hospitals collection policy states that they will not send patient accounts to collection if a decision on a financial assistance application is pending, or if a patient is determined to be eligible for Medicaid at the time services were rendered and for which services Medicaid payment is available. Question 2: NEEDS ASSESSMENT: The Community Health Needs Assessment (CHNA) is performed on an ongoing basis. Northwell conducts and participates in population, demographic, and health status evaluations of our respective hospitals service areas based on county regions and the communities we serve. There is a special effort to include individuals with health disparities and organizations who serve these communities in the CHNA process. The CHNA includes the analysis of primary and secondary data. Multi-year analyses, trends and projections are developed, which identify areas of need for the continuum of health care services. Primary data is obtained through a combination of qualitative analysis of community-based organization (CBO), informant interviews and surveys, individual community member surveys, and participation in collaborative partner meetings. These meetings include representatives from the Departments of Health, CBOs, academic institutions, government agencies, and hospitals. Ongoing input concerning our communities needs is also obtained through: our Board of Trustees/Directors who are all area residents and leaders in their respective communities; facility based advisory boards and councils, and; the feedback received by our facility administrators and clinicians that serve on local community agency boards. Secondary data analysis includes: internal hospital data, including Prevention Quality Indicators (PQI); Department of Health Community Health Assessments; local regional NYS Prevention Agenda data sources; and Statewide Planning and Research System (SPARCS) data. The Committee on Community Health, a committee of the Board of Trustees, provides recommendations that concern Northwells community health priorities and interventions based on the CHNA. Committee discussions focus on New York State (NYS) Prevention Agenda Priority Areas, including strategies and intervention outcomes related to chronic disease prevention, women and childrens health, healthy safe environments, health access, mental health and substance abuse, HIV/AIDS/STDs and community immunizations. Regional departments of health (I.E. Nassau County Department of Health, Suffolk County Department of Health Services, and NYC Department of Health and Mental Hygiene) perform additional community health assessments (CHA) with the input of hospital and community stakeholders. These regional partners use strategies such as community member surveys, CBO surveys, and public listening sessions to solicit information on community needs. Together with other healthcare organizations and CBOs, Northwell participates in meetings organized by these regional departments of health academic organizations to discuss the shared responsibility of public health planning within the NYS Prevention Agenda. These meetings provide an opportunity for general discussion regarding the public health goals of the NYS Prevention Agenda and the selection of shared priorities for collaborative regional planning. TExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL J DOWLING
PRESIDENT & CEO$0$1,474,558$0$2,543,853$0$23,516$0$29,700$0$25,140$0$4,096,767$0$0
RALPH NAPPI
trustee and evc$0$720,899$0$243,445$0$31,094$0$29,700$0$19,148$0$1,044,286$0$0
ANTHONY FERRERI
EVP/CHF AFFILIATION OFF$0$92,419$0$278,561$0$833,867$0$29,700$0$19,148$0$1,253,695$0$0
HARRY GINDI
ASSISTANT SECRETARY$0$304,506$0$47,201$0$4,445$0$29,700$0$19,121$0$404,973$0$0
Laura Peabody
SVP & Chief Legal Officer$0$707,941$0$282,134$0$68,822$0$203,936$0$19,008$0$1,281,841$0$0
ROBERT S SHAPIRO
EVP, CHIEF FINANCIAL OFFICER$0$1,171,054$0$421,415$0$56,602$0$29,700$0$19,148$0$1,697,919$0$0
GREGORY RADINSKY
VP/CHF COMPLIANCE OFF NORTHWEL$0$418,534$0$113,488$0$19,850$0$29,700$0$28,382$0$609,954$0$0
THOMAS RECA
EXEC VP/FINANCE & CFO$525,228$0$95,877$0$127,126$0$29,700$0$17,982$0$795,913$0$0$0
DONNA PROSKE
EXECUTIVE DIRECTOR$703,805$0$166,786$0$48,459$0$29,700$0$9,528$0$958,278$0$0$0
EDWIN CHANG
DIR, NEUROSURGERY$980,356$0$0$0$146,401$0$29,700$0$29,677$0$1,186,134$0$0$0
JONATHAN DEITCH
DIR, VAS/ENDO SURGERY$1,166,136$0$0$0$414$0$29,700$0$9,528$0$1,205,778$0$0$0
RUBEN KANDOV
PHYSICIAN$653,089$0$327,311$0$84,480$0$29,700$0$26,579$0$1,121,159$0$0$0
MARK J SOLAZZO
EVP, CHIEF OPERATING OFFICER$0$1,444,332$0$1,000,000$0$28,977$0$770,985$0$11,533$0$3,255,827$0$0
HOWARD B GOLD
EVP, CHF MGD CARE$0$1,076,639$0$670,464$0$32,391$0$29,700$0$18,795$0$1,827,989$0$0
LAWRENCE G SMITH MD
EVP & PHYSICIAN IN CHIEF$0$1,003,732$0$297,751$0$28,191$0$29,700$0$20,348$0$1,379,722$0$0
JEFFREY KRAUT
EVP, STRATEGY & ANALYTICS$0$917,461$0$344,037$0$48,577$0$530,377$0$27,256$0$1,867,708$0$0
MICHELE CUSACK
SVP & CFO$0$775,211$0$284,418$0$12,050$0$121,106$0$28,381$0$1,221,166$0$0
RICHARD MILLER
EVP & Chf Business Strategy Of$0$777,892$0$299,893$0$31,475$0$198,971$0$19,265$0$1,327,496$0$0
LAURENCE KRAEMER
SVP, Interim Chf Lgl Of$0$632,884$0$204,756$0$41,764$0$29,700$0$28,423$0$937,527$0$0
MARK GLOADE
SVP Deputy GnCnsl & Asst Sec$0$469,518$0$67,744$0$39,464$0$29,700$0$28,423$0$634,849$0$0
KATHLEEN GALLO RN PHD
SR VP & CHF LEARNING OFFICER$0$670,899$0$230,549$0$33,431$0$29,700$0$19,148$0$983,727$0$0
DONNA DRUMMOND
SVP, CONSOLIDATED SERVICES$0$684,675$0$235,506$0$31,551$0$225,976$0$28,423$0$1,206,131$0$0
EUGENE S TANGNEY
svp chf admin officer$0$997,983$0$251,479$0$11,010$0$271,726$0$28,423$0$1,560,621$0$0
MOHAMMED IMAM
Chair, Cardiothoracic Surgery$1,535,271$0$0$0$18,804$0$29,700$0$3,847$0$1,587,622$0$0$0
THEODORE STRANGE
VP, Operations-South Site$876,085$0$121,717$0$30,294$0$29,700$0$26,579$0$1,084,375$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BCertain individuals participate in a Supplemental Executive Retirement Plan ("SERP") which is subject to substantial risk of complete forfeiture. Accordingly, the individual may never actually receive the unvested benefit amount and the amounts outlined herein were properly not reported in each individual's Form W-2, Box 5. These amounts are included in Schedule J, Column C for Mark Solazzo ($741,285), Jeffrey Kraut ($500,677), Michele Cusack ($91,406), Richard Miller ($169,271), Donna Drummond ($196,276), Eugene Tangney ($242,026) and LAURA PEABODY ($174,236).
PART 1, LINE 5APursuant to the persons listed in Form 990, Part VII, section A, line 1A, there is no contractual obligation to pay or accrue any compensation to officers of the Northwell Health, Inc. based on the revenue of the organization. A listed person(s) that may qualify under this condition could be one or more of the physicians listed as a highly compensated employee.
PART I, LINE 7ON FORM 990, PART VII, SECTION A, LINE 1A, THE ORGANIZATION MAY PROVIDE NON-FIXED PAYMENTS, NOT DESCRIBED ON LINES 5 AND 6, TO CERTAIN LISTED PERSONS. THE ORGANIZATION BASES SUCH PAYMENTS ON MANY PERFORMANCE BASED FACTORS. PAYMENTS OF THIS TYPE APPEAR ON SCHEDULE J-1, PART I, B (II).
Part II, Column (F)The amount reported in Schedule J, Part II, Column (F) includes SERP amounts which were previously reported on Form 990, Schedule J, Part II, Column (C) in prior years. In accordance with the IRS instructions, these amounts were originally reported when contributions were made to the SERP plan and are now being reported for a second time upon receipt of distribution from the SERP plan.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
A1460002930000000002009-08-19$4,744,6922009 MASTER LEASE/SUBLEASEfalsefalsefalse
DORMITORY AUTHORITY OF THE STATE OF NEW YORK
B1460002930000000002012-02-10$8,751,4042012 MASTER LEASE/SUBLEASEfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$3,116,528$0$4,744,692$0$0$0$83,250$0$0$4,661,442$0$02010falsefalseYes (true)Yes (true)
B$8,539,068$0$8,752,323$0$0$0$72,002$0$0$8,680,322$0$02012falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0falsefalsefalseYes (true)
Bfalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalseYes (true)Yes (true)falsefalsefalse0falseYes (true)
0
BfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, LINE 3 - THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE INI, COLUMN (E) DUE TO INVESTMENT EARNINGS & TRANSFERRED PROCEEDS.
PART IV, LINE 2C-REBATE CALCULATION PERFORMED 2/19/2011 FOR TELP, SINCEBOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
TR CONSULTING LLC
BUS RELATION: TOM RECA$18,130COMPANYfalse
DONNA FERRERI
FAM RELATION: ANTHONY FERRERI$23,387EMPLOYEEfalse
JAMES R WELLER
FAM RELATION: DONNA PROSKE$111,858EMPLOYEEfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION A - GOVERNING BODY AND MANAGEMENT, LINE 2All transactions with Northwell Health entities are as follows: (1) negotiated at arm's length; (2) all purchases are at fair market value; and (3) all products or services are rendered on an "as needed" basis. Roger Blumencranz has a business relationship with Richard D. Goldstein, Alan Greene, Saul Katz, Ralph Nappi, Mark Solazzo and Donald Zucker. Mark Claster has a business relationship with Robert Rosenthal. Lloyd Goldman has a business relationship with Richard Goldstein and William Mack. Richard D. Goldstein has a business relationship with Roger Blumencranz, Lloyd Goldman, William Mack and Barry Rubenstein. Alan Greene has a business relationship with Roger Blumencranz, Seth Lipsay, F.J. McCarthy and Robert Rosenthal. Saul Katz has a business relationship with Roger Blumencranz, Seth Lipsay and F.J. McCarthy. Jeffrey Lane has a business relationship with William Mack. Seth Lipsay has a business relationship with Saul Katz and Robert Rosenthal. William Mack has business relationships with Lloyd Goldman, Richard Goldstein, Jeffrey Lane, Barry Rubenstein and Roy Zuckerberg. F.J. McCarthy has a business relationship with Saul Katz and Robert Rosenthal. Ralph Nappi has a business relationship with Roger Blumencranz. Robert Rosenthal has a business relationship with Mark Claster, Seth Lipsay and F.J. McCarthy. Barry Rubenstein has a business relationship with Richard Goldstein and William Mack. Mark Solazzo has a business relationship with Roger Blumencranz. Donald Zucker has a business relationship with Roger Blumencranz. Roy Zuckerberg has a business relationship with William Mack.
PART VI, SECTION B - POLICIES, LINE 11The annual Return of Organization Exempt From Income Tax (Form 990) for Northwell Health, Inc. and Affiliated entities are prepared with input from various departments including Corporate Compliance, Finance, Human Resources, and Legal. Before filing the returns, the documents are electronically made available to all trustees through a secure online portal. Members of the Executive Committee are then informed the returns are ready for review. The Executive Committee, which is a committee made up of members from the Board of Trustees, may exercise all of the authority of the Board of Trustees except as such authority is limited by applicable law and except to the extent, if any, that such authority would be inconsistent with any provision of these By-laws or is limited by any resolution to such effect adopted by the Board of Trustees.
PART VI, SECTION B - POLICIES, LINE 12CNorthwell Health, Inc. ("Northwell") has several control mechanisms to mitigate conflicts of interest. Northwells Code of Ethical Conduct contains a detailed section educating individuals about how to avoid potential conflicts of interest. Specifically, our Code of Ethical Conduct requires individuals to conduct Northwell business in a manner that places the interests of Northwell ahead of their personal interests. In addition, Northwell has a Conflicts of Interest Policy Statement further elaborating upon individuals' disclosure and recusal obligations. Individuals that are in a position to influence the business or other decisions of Northwell are required to fill out a conflicts of interest disclosure form on a regular basis. The Corporate Compliance Office reviews all disclosures of possible conflicts, including matters disclosed in any conflicts of interest disclosure report and takes any actions deemed required or appropriate to manage or resolve any actual or potential conflicts of interest. In appropriate cases these disclosures and responsive actions will be reported to Northwells Audit and Corporate Compliance Committee and other applicable committees. In addition, Northwell provides training to individuals on an annual basis regarding conflicts of interest and other compliance related topics. If an individual violates the Code of Ethical Conduct or any related policy such as the Conflicts of Interest Policy Statement, appropriate disciplinary action is taken based upon the facts and circumstances of the situation.
PART VI, SECTION B - POLICIES, LINE 15The by-laws of Northwell Health, Inc. ("Northwell") create a committee of the board with full powers of the board to review and approve the compensation of officers and other key employees. The committee consists of approximately 6 trustees who have no connection to Northwell except as trustees and they have no conflicts as to matters they consider. The committee meets several times a year as needed but always meets in November/December to review and determine officer and key employee compensation for the following year. For purposes of their review the committee considers the recommendations of the CEO for all persons other than the CEO. For purposes of the review each year the committee receives information from an outside independent compensation consultant as to compensation for comparable positions in comparable organizations and makes its decisions on this basis, with the overall objective of paying base salary at the 50th percentile. Any contracts or other compensation for officers or key employees are separately considered and normally only approved after receipt of a "fairness opinion" from the independent consultant. All the work and process of the committee is structured to fall within the applicable safe harbor regulations.
PART VI, SECTION C - DISCLOSURES, LINE 19CURRENTLY THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
PART VII, SECTION A - LINE 1A, COLUMN (B)This organization is affiliated with Northwell Health, Inc. ("Northwell"). The Officers, Directors and Trustees listed on Schedule J hold similar positions with both this organization and other affiliates of Northwell, and they do not separately allocate their time to this organization and such other affiliates. The hours shown for all such persons reflect time devoted to Northwell and its affiliates, including this organization. For Directors and Trustees, the hours shown reflect the estimated average weekly time. For officers, Key Employees and Highest Compensated Employees, the hours shown reflect the weekly hours used when determining compensation payments for services rendered and are, generally, less than the actual weekly hours devoted to Northwell and its affiliates.
PART VI, SECTION A - GOVERNING BODY, LINE 7Northwell Healthcare, Inc. ("Northwell Healthcare") is the sole corporate member of the organization. Northwell Healthcare has the right to elect or appoint member of the organization's governing body and has the right to approve or ratify certain corporate decisions. This organization and Northwell Healthcare are part of Northwell Health, Inc., an integrated health care delivery system.
PART XI, RECONCILIATION OF NET ASSETS, LINE 9NON OPERATING GAIN/LOSS (5,797,921) PRIOR YEAR ADJUSTMENTS (5,183) TOTAL CHANGE IN NET ASSETS (5,803,104)
PART VII, SECTION A - LINE 1AFrank J. Besignano Alan I. Greene Patrick F. McDermott Roger A. Blumencranz Paul B. Guenther Ralph A. Nappi Robert W. Chasanoff William O. Hiltz Richard B. Nye Mark L. Claster Nancy Karch Sharon Patterson Michael J. Dowling Saul B. Katz Lewis S. Ranieri Michael A. Epstein Cary Kravet Robert D. Rosenthal Michael E. Feldman Jeffrey B. Lane Barry Rubenstein Catherine C. Foster Seth Lipsay Richard J. Sinni L. Keith Friedlander William L. Mack Donald Zucker Lloyd M. Goldman F.J. McCarthy Roy J. Zuckerberg Richard D. Goldstein

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CASTLETON AVENUE ASSOCIATES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1475 SEAVIEW AVENUEAddressLine1Txt
CitySTATEN ISLANDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10305ZIPCd
FieldValueIRS element (for citing)
EIN133943199EIN
Primary ActivitiesINACTIVEPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SIUHBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (65 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Feinstein Institute for Medical Research
972 Brush Hollow RoadWestburyNY11590112673595ResearchNY501(C)(3)4NW HEALTHfalse
Glen Cove Hospital
972 Brush Hollow RoadWestburyNY11590111633487HealthCareNY501(C)(3)3NW HEALTHCARfalse
Hillside Hospital Houses Inc
972 Brush Hollow RoadWestburyNY11590112113949Housing CompNY501(C)(2)N/ANW HEALTHfalse
Hospice Care Network
99 Sunnyside BoulevardWoodburyNY11797112925757HospiceNY501(C)(3)9NW HEALTHfalse
Huntington Hospital
270 Park AvenueHuntingtonNY11743111630914HealthCareNY501(C)(3)3NW HEALTHCARfalse
Huntington Hosp Dolan Family Health Ctr
284 Pulaski RoadGreenlawnNY11740113368503HealthCareNY501(C)(3)3Huntingtonfalse
LIJ Foundation
972 Brush Hollow RoadWestburyNY11590112661239support orgNY501(C)(3)12, TYPE INW HEALTHfalse
Long Island Jewish Medical Center
972 Brush Hollow RoadWestburyNY11590112241326HealthCareNY501(C)(3)3NW HEALTHCARfalse
LIJ Medical Center at Home Pharmacy
972 Brush Hollow RoadWestburyNY11590113251128support orgNY501(C)(3)12, TYPE INW HEALTHfalse
North Shore Community Services Inc
972 Brush Hollow RoadWestburyNY11590237273200Housing CompNY501(C)(2)N/ANW HEALTHfalse
North Shore University Hospital
972 Brush Hollow RoadWestburyNY11590111562701HealthCareNY501(C)(3)3NW HEALTHCARfalse
NS Univ Hospital at Glen Cove Housing
972 Brush Hollow RoadWestburyNY11590237010468Housing CompNY501(C)(2)N/ANW HEALTHfalse
North Shore University Hospital Housing
972 Brush Hollow RoadWestburyNY11590112171903Housing CompNY501(C)(2)N/ANW HEALTHfalse
NW HEALTH STERN FAMILY CENTER FOR REHAB
972 Brush Hollow RoadWestburyNY11590237007485Nursing HomeNY501(C)(3)9NW HEALTHCARfalse
NORTHWELL HEALTHCARE INC
972 Brush Hollow RoadWestburyNY11590112965586support orgNY501(C)(3)12, TYPE INW HEALTHfalse
NORTHWELL HEALTH INC
972 Brush Hollow RoadWestburyNY11590113418133support orgNY501(C)(3)12, TYPE INAfalse
NORTHWELL HEALTH FOUNDATION
972 Brush Hollow RoadWestburyNY11590112965575FundraisingNY501(C)(3)7NW HEALTHfalse
NORTHWELL HEALTH Laboratories
972 Brush Hollow RoadWestburyNY11590113412370Support OrgNY501(C)(3)12, TYPE INW HEALTHfalse
North Shore-LIJ Medical Care Centers
972 Brush Hollow RoadWestburyNY11590113473923support orgNY501(C)(3)12, TYPE INW HEALTHfalse
Plainview Hospital
972 Brush Hollow RoadWestburyNY11590113241243HealthCareNY501(C)(3)3NW HEALTHCARfalse
SIUH Systems Inc
475 Seaview AvenueStaten IslandNY10305061074604FundraisingNY501(C)(3)7NW HEALTHCARfalse
Southside Hospital
972 Brush Hollow RoadWestburyNY11590111667761HealthCareNY501(C)(3)3NW HEALTHCARfalse
SSH Inc
972 Brush Hollow RoadWestburyNY11590112774102support orgNY501(C)(3)12, TYPE ISOUTHSIDEfalse
Staten Island Univ Hospital Foundation
360 Seaview AvenueStaten IslandNY10305870765787FundraisingNY501(C)(3)7SIUHYes (true)
THE HEART INSTITUTE
475 SEAVIEW AVENUESTATEN ISLANDNY10305311757254inactiveNY501(C)(3)12, TYPE INAfalse
PHYSICIANS OF UNIVERSITY HOSPITAL PC
1 EDGEWATER PLAZA 6th floorSTATEN ISLANDNY10305200096809HEALTHCARENY501(C)(3)12, TYPE ISIUHYes (true)
LENOX HILL HOSPITAL
972 BRUSH HOLLOW ROADWESTBURYNY11590131624070HEALTHCARENY501(C)(3)3NW HEALTHCARfalse
LHH CORPORATION
972 BRUSH HOLLOW ROADWESTBURYNY11590133272016SUPPORT ORGNY501(C)(3)12, TYPE INW HEALTHfalse
THE ELMEZZI GRAD SCHOOL OF MOLECULAR MED
972 BRUSH HOLLOW RoadWESTBURYNY11590113284934GRADUATE SCHNY501(C)(3)2RESEARCHfalse
SPORTS PHYSICAL THERAPY AND REHAB SVCS
972 BRUSH HOLLOW RoadWESTBURYNY11590061655704HEALTHCARENY501(C)(3)9LIJfalse
NORTH SHORE - LIJ ALLIANCE
972 BRUSH HOLLOW RoadWESTBURYNY11590263727582HEALTHCARENY501(C)(3)3NAfalse
THE LONG ISLAND HOME
400 SUNRISE HIGHWAYAMITYVILLENY11701112837244HEALTHCARENY501(c)(3)3LHH CORPfalse
CLNY ALLIANCE INC
972 BRUSH HOLLOW ROADWESTBURYNY11590463146870LABORATORYNY501(C)(3)3NW LABSfalse
NORTH SHORE-LIJ CARDIO MEDICINE PC
972 BRUSH HOLLOW ROADWESTBURYNY11590275078717MEDICAL SVCS.NY501(C)(3)12, TYPE INSUHfalse
NORTH SHORE-LIJ CARDIO AT DEER PARK PC
972 BRUSH HOLLOW ROADWESTBURYNY11590275078531MEDICAL SVCS.NY501(C)(3)12, TYPE INSUHfalse
NORTH SHORE-LIJ HEART SURGERY PC
972 BRUSH HOLLOW ROADWESTBURYNY11590275078838MEDICAL SVCS.NY501(c)(3)12, TYPE INSUHfalse
NORTH SHORE-LIJ INTERNAL MEDICINE PC
972 BRUSH HOLLOW ROADWESTBURYNY11590275078631MEDICAL SVCS.NY501(c)(3)12, TYPE INSUHfalse
NORTH SHORE-LIJ MED GROUP URG MED CARE
972 BRUSH HOLLOW ROADWESTBURYNY11590275078426MEDICAL SVCS.NY501(c)(3)12, TYPE INSUHfalse
NORTH SHORE-LIJ MEDICAL PC
972 BRUSH HOLLOW ROADWESTBURYNY11590453023019MEDICAL SVCS.NY501(c)(3)12, TYPE INSUHfalse
NORTH SHORE-LIJ HEALTH PLAN INC
972 BRUSH HOLLOW ROADWESTBURYNY11590461617516INSURANCENY501(C)(3)9hp holdingfalse
Advocate Community Providers
972 Brush Hollow RdWestburyNY11590472528627DSRIPNY501(C)(3)7NAfalse
North Shore-LIJ Health Plan Holding Comp
972 Brush Hollow RdWestburyNY11590462478147HOLDING CONY501(C)(3)12, TYPE INW HEALTHCARfalse
Phelps Memorial Hospital Association
701 North BroadwaySLEEPY HOLLOWNY10591131725076HOSPITALNY501(C)(3)3NW HEALTHCARfalse
Phelps Medical Services PC
701 North BroadwaySleepy HollowNY10591274416017MEDICAL SVCSNY501(C)(3)12, TYPE IPHELPS MEMORfalse
Northern Westchester Hospital Associatio
401 East Main StreetMount KiscoNY10549131740118HOSPITALNY501(C)(3)3NW HEALTHCARfalse
Northern Westchester Hospital Foundation
401 East Main StreetMOUNT KISCONY10549134067064FOUNDATIONNY501(C)(3)9NWHAfalse
NORCORP Inc
401 East Main StreetMOUNT KISCONY10549133366748SUPPORT ORGNY501(C)(3)12, TYPE INWHAfalse
Northern Westchester Realty Holding Comp
401 East Main StreetMount KiscoNY10549912134215HOLDING COMPANY501(C)(2)N/ANWHAfalse
CENTRAL SUFFOLK HOSPITAL ASSOCIATION
1300 ROANOKE AVERIVERHEADNY11901111661359HEALTH CARENY501(C)(3)3NW HEALTHCARfalse
STATEN ISLAND PERFORMING PROVIDER SYSTEM
972 BRUSH HOLLOW RDWESTBURYNY11590472544659DSRIPNYAPPLIED FOR.NAfalse
Visiting Nurse of Hudson Valley Inc
540 White Plains RdTarrytownNY10591131739952Home Health CNY501(C)(3)10NW HEALTHCARfalse
Hospice Care in Westchester and Putnam
540 White Plains RdTarrytownNY10591133882602Hospice CareNY501(C)(3)10VNA Hudsonfalse
VNA Home Health Services Inc
540 White Plains RdTarrytownNY10591133690105Home Health CNY501(C)(3)10VNA Hudsonfalse
Marcus Emergency Medicine PC
972 BRUSH HOLLOW ROADWESTBURYNY11590474377679MEDICAL SVCSNY501(C)(3)12, TYPE INSUHfalse
North Shore-LIJ Radiology Services PC
972 BRUSH HOLLOW ROADWESTBURYNY11590223970667MEDICAL SVCSNY501(C)(3)12, TYPE INSUHfalse
North Shore-LIJ Anesthesiology PC
972 BRUSH HOLLOW ROADWESTBURYNY11590461617561MEDICAL SVCSNY501(C)(3)12, TYPE ISSIDEfalse
North Shore-LIJ OB-GYN PC
972 BRUSH HOLLOW ROADWESTBURYNY11590461382916MEDICAL SVCSNY501(C)(3)12, TYPE ILIJMCfalse
Carnegie Cardiovascular PC
972 BRUSH HOLLOW ROADWESTBURYNY11590474377825MEDICAL SVCSNY501(C)(3)12, TYPE ILENOX HILLfalse
Westchester Health Medical PC
972 BRUSH HOLLOW ROADWESTBURYNY11590474539584MEDICAL SVCSNY501(C)(3)12, TYPE INSUHfalse
Peconic Cardiology PC
972 BRUSH HOLLOW ROADWESTBURYNY11590813149464MEDICAL SVCSNY501(C)(3)12, TYPE INSUHfalse
North Shore-LIJ OB-GYN at Garden City P
972 BRUSH HOLLOW ROADWESTBURYNY11590462886776MEDICAL SVCSNY501(C)(3)12, TYPE INSUHfalse
North Shore-LIJ Medical Group at Hunting
972 BRUSH HOLLOW ROADWESTBURYNY11590274384049MEDICAL SVCSNY501(C)(3)12, TYPE INSUHfalse
North Shore-LIJ Pediatrics of Suffolk Co
972 BRUSH HOLLOW ROADWESTBURYNY11590465746956MEDICAL SVCSNY501(C)(3)12, TYPE INSUHfalse
Brooklyn Ambulatory Care PC
972 BRUSH HOLLOW ROADWESTBURYNY11590474447289MEDICAL SVCSNY501(C)(3)12, TYPE INSUHfalse
Lakeville Surgery PC
972 BRUSH HOLLOW ROADWESTBURYNY11590474377760MEDICAL SVCSNY501(C)(3)12, TYPE ILENOX HILLfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (29 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
KRASNOFF CONS SVCS
972 Brush Hollow ROADWESTBURYNY11590262838027CONSULTINGNYCARE MGT GROUP
ENDOSCOPY CTR OF LI
972 BRUSH HOLLoW ROADWESTBURYNY11590260000980MEDICAL SVCS.NYNS-LIJ VENTURES
TRUE NORTH URG CARE
972 BRUSH HOLLOW ROADWESTBURYNY11590464113494MEDICAL SVCS.NYNS-LIJ URG CARE
TRUE NORTH DC
972 BRUSH HOLLOW ROADWESTBURYNY11590464601950MEDICAL SVCS.NYRENAL VENTURES
SYN HLTH TRUE NORTH
972 BRUSH HOLLOW ROADWESTBURYNY11590464106483MEDICAL SVCS.NYCENTRAL STERILE
NS-LIJ AND YALE NEW HAVEN MEDICAL AIR TR
972 BRUSH HOLLOW ROADWESTBURYNY11590464858222AIR TRANSPORTNYNSUH
NORTH SHORE-LIJ CONTRACT RESEARCH ORGANI
972 BRUSH HOLLOW ROADWESTBURYNY11590464469806RESEARCHNYHEALTH CARE
NASSAU QUEENS PERFORMING PROVIDER SYSTEM
972 BRUSH HOLLOW ROADWESTBURYNY11590472544821DSRIPNYNA
Endo Group LLC
972 Brush Hollow RdWESTBURYNY11590200248148Medical SvcsNYVENTURES GCSC
Hospital City LLC
972 Brush Hollow RdWESTBURYNY11590474091780INACTIVEDENORTHWELL HEALT
Northwell Genomic Alliance LLC
972 Brush Hollow RdWESTBURYNY11590810826710INACTIVEDENW LABS
Health Connect Technologies LLC
972 Brush Hollow RdWESTBURYNY11590810967200INACTIVENYNEWPORT HEALTH
Phelps Professional Building Corp LP
777 North BroadwaySLEEPY HOLLOWNY10591133645137REAL ESTATENYPMHA
OPTUM 360 LLC
11000 OPTUM CIRCLEEDEN PRAIRIEMN55344463328307BILLINGMNOPTUM
Brooklyn Ambulatory Services LLC
972 BRUSH HOLLOW RDWESTBURYNY11590812910850MEDICAL SVCSNYNW HEALTH
SOUTH SHORE SURGERY CENTER LLC
972 BRUSH HOLLOW RDWESTBURYNY11590341997077MEDICAL SVCSNYMULITSPECIALTY
FORMATIV HEALTH LLC
972 BRUSH HOLLOW RDWESTBURYNY11590813121231HOLDING CODEMAGNITUDE HOLD
FORMATIV HEALTH INTERMEDIATE LLC
972 BRUSH HOLLOW RDWESTBURYNY11590814614788HOLDING CODEFM HEALTH HOLD
SUFFOLK SURGERY CENTER
972 BRUSH HOLLOW RDWESTBURYNY11590200080609MEDICAL SVCSNYMULTISPECIALTY
Anesthesia Management Services LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590823199065MEDICAL SVCSNYNEA PC
Northwell Health Sleep Lab LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590821516748MEDICAL SVCSNYSLEEP HLGS
Technopath Northwell Health North Americ
972 BRUSH HOLLOW ROADWESTBURYNY11590822869458LAB SVCSNYTECHNOPATH USA
Richmond ASC LLC
1360 HYLAN BLVDSTATEN ISLANDNY10305472882195MEDICAL SVCSNYCHAPMAN
Surgical Specialty Center of Westchester
972 BRUSH HOLLOW ROADWESTBURYNY11590814359712MEDICAL SVCSNYNA
True North DC Holding LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590813347874MEDICAL SVCSNYRENAL VENTURES
True North II DC LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590352568005MEDICAL SVCSNYDC HOLDING
Melville SC LLC
1895 Walt Whitman RoadMelvilleNY11747203487522MEDICAL SVCSNYMelville ASC
True North IV DC LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590611816900MEDICAL SVCSNYDC HOLDING
True North V DC LLC
972 BRUSH HOLLOW ROADWESTBURYNY11590320518811MEDICAL SVCSNYDC HOLDING

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (54 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdDirect Controlling NADirectControllingNACd
Autoimmune Research Therapeutics
972 Brush Hollow RoadWestburyNY11590270701489INACTIVENYRESEARCHCfalse
Care Management Group of Greater NY
972 Brush Hollow RoadWestburyNY11590113336381Business ServNYNSH ENTERPRISESCfalse
Lenox Hill Pathology PC
972 BRUSH HOLLOW ROADWESTBURYNY11590133644370Medical ServiNYLENOX HILLCfalse
Lenox otolaryngology head & neck surgery
972 BRUSH HOLLOW ROADWESTBURYNY11590208784395Medical ServiNYLENOX HILLCfalse
North Shore Health Enterprises
972 Brush Hollow RoadWestburyNY11590061605319Holding CompNYNSHS ENTERPRISECfalse
NS Health System Enterprises
972 Brush Hollow RoadWestburyNY11590113316922Holding CompNYNW HEALTHCfalse
North Shore IPA 5 Inc
972 Brush Hollow RoadWestburyNY11590113383468Business ServNYNW HEALTHCARECfalse
NS-LIJ Health System IPA #1
972 Brush Hollow RoadWestburyNY11590113533659HealthCareNYLIJCfalse
NS-LIJ Health System IPA #2
972 Brush Hollow RoadWestburyNY11590113533670HealthCareNYLIJCfalse
NS-LIJ Medical Gr at North Nassau PC
972 Brush Hollow RoadWestburyNY11590274384146Medical ServiNYNSUHCfalse
NS-LIJ Medical Group at Syosset PC
972 Brush Hollow RoadWestburyNY11590273957752Medical ServiNYNSUHCfalse
NS-LIJ Medical Group PC
972 Brush Hollow RoadWestburyNY11590274384249Medical ServiNYNSUHCfalse
NS-LIJ Network Inc
972 Brush Hollow RoadWestburyNY11590320257193Support ServiNYNW HEALTHCfalse
North Shore-LIJ Physicians Group PC
972 Brush Hollow RoadWestburyNY11590274384326Medical ServiNYNSUHCfalse
Northwell Health Regional Alliance Inc
972 Brush Hollow RoadWestburyNY11590263651575Support ServiNYNACfalse
Regional Insurance Company LTD
000000000insuranceNYNW HEALTHCARECfalse41 Cedar AveHamiltonBERMUDABDHM 12
Regioncare Inc
972 Brush Hollow RoadWestburyNY11590113052191HomecareNYNSHS ENTERPRISECfalse
SIUH Perinatology PC
972 Brush Hollow RoadWestburyNY11590134107082Medical ServiNYSIUHCfalse
United Medical Surgical PC
475 Seaview AvenueStaten IslandNY10305134038780Surgical ServNYSIUHS CORPORATIONfalse
Vivohealth Inc
256 Mason Avenue BLDG B 2nd FLStaten IslandNY10305264118016InactiveNYNSH ENTERPRISECfalse
LENOX HILL HOSPITAL MEDICAL PC
972 Brush Hollow RoadWestburyNY11590452661543Medical ServiNYlenoxCfalse
NS-LIJ OCCUPATIONAL MEDICINE PC
972 BRUSH HOLLOW RoadWESTBURYNY11590451004103Medical ServiNYNSUHCfalse
NS-LIJ INTERNAL MEDICINE AT LYNBROOK PC
972 BRUSH HOLLOW RoadWESTBURYNY11590463475908MEDICAL SERVINYNSUHCfalse
NS-LIJ INTERNAL MEDICINE NEW HYDE PARK
972 BRUSH HOLLOW ROADWESTBURYNY11590462822879MEDICAL SERVINYNSUHCfalse
CARECONNECT INSURANCE COMPANY
972 BRUSH HOLLOW ROADWESTBURYNY11590462270382INSURANCENYgroup holdingCfalse
NORTH SHORE MEDICAL ACCELERATOR PC
972 BRUSH HOLLOW ROADWESTBURYNY11590112945979MEDICAL SERVINYNSUHS CORPORATIONfalse
TRUE NORTH HEALTH PHARMACY INC
972 BRUSH HOLLOW ROADWESTBURYNY11590471020508PHARMACYNYNSHS EnterpriseCfalse
NORTH SHORE-LIJ CARECONNECT INSURANCE AG
972 BRUSH HOLLOW ROADWESTBURYNY11590471994548INSURANCE AGENYGROUP HOLDINGCfalse
CARECONNECT GROUP HOLDING COMPANY INC
972 BRUSH HOLLOW ROADWESTBURYNY11590472478692HOLDING CONYHPLAN HOLDINGCfalse
NORTH SHORE-LIJ URGENT CARE PC
972 BRUSH HOLLOW ROADWESTBURYNY11590471758444MEDICAL SERVINYNSUHCfalse
Wellbridge Psychiatry PC
972 BRUSH HOLLOW ROADWESTBURYNY11590465495054MEDICAL SERVINYNSUHCfalse
North Shore-LIJ Ophthalmology Institute
972 BRUSH HOLLOW ROADWESTBURYNY11590300930851INACTIVENYNSUHCfalse
Phelps Realty Corp
972 Brush Hollow RdWESTBURYNY11590133645135REAL ESTATENYPHELPS MEMORIALCfalse
NWHC Health Management Services Inc
400 East Main StMount KiscoNY10549133697510Health MgmtNYNORCORPCfalse
Northern Westchester Surgical Services
400 East Main StMount KiscoNY10549274550915Medical SvcsNYNWHACfalse
North Shore-LIJ OB-GYN at New Hyde Park
400 East Main StMount KiscoNY10549473722278Medical SvcsNYNSUHCfalse
Community Drive Surgery PC
972 Brush Hollow RdWestburyNY11590821672429Medical SvcsNYNSUHCfalse
Marcus Avenue Medical PC
972 Brush Hollow RdwestburyNY11590300930577Medical SvcsNYnsuhCfalse
CareConnect Administrative Services Inc
972 Brush Hollow RdwestburyNY11590475182974adminNYgroup holdingCfalse
Northwell FlexStaff Inc
972 Brush Hollow RdwestburyNY11590810836815inactiveNYNSH EnterpriseCfalse
FEINSTEIN CENTER FOR BIOELECTRONIC MEDIC
972 Brush Hollow RdWestburyNY11590812885700INACTIVENYFEINSTEINCfalse
TRUE NORTH HEALTH MANAGEMENT INC
972 BRUSH HOLLOW RDWESTBURYNY11590813428274INACTIVENYNW HEALTHCARECfalse
NARROWS IPA INC
972 BRUSH HOLLOW RDWESTBURYNY11590133978565BUSINESS SVCSNYNSUHCfalse
VIVOHEALTH PLANS INC
972 BRUSH HOLLOW RDWESTBURYNY11590461164689INACTIVENYNW HEALTHCARECfalse
FORMATIV HEALTH MANAGEMENT INC
972 BRUSH HOLLOW RDWESTBURYNY11590813454243HOLDING CODEFM HEALTH INTERCfalse
FORMATIV HEALTH NEWCO INC
972 BRUSH HOLLOW RDWESTBURYNY11590813928889HOLDING CODEFM HEALTH holdcCfalse
FORMATIV HEALTH HOLDCO INC
972 BRUSH HOLLOW RDWESTBURYNY11590813928672HOLDING CODEFORMATIV HEALTHCfalse
Northwell Quality and Medical Affairs I
972 BRUSH HOLLOW RDWESTBURYNY11590824113233INACTIVENYNW HEALTHCARECfalse
Montauk Risk Retention Group Inc
972 BRUSH HOLLOW ROADWESTBURYNY11590822587942INSURANCENYCfalseN/A
True North Flexstaff Inc
972 BRUSH HOLLOW ROADWESTBURYNY11590821446568INACTIVENYNW HEALTHCARECfalse
Northwell Proton Therapy PC
972 BRUSH HOLLOW ROADWESTBURYNY11590812766298INACTIVENYNSUHCfalse
Suite 130 Plastic Surgery PC
972 BRUSH HOLLOW ROADWESTBURYNY11590821772747MEDICAL SVCSNYLIJCfalse
Northeastern Anesthesia of New Jersey P
972 BRUSH HOLLOW ROADWESTBURYNY11590208709500MEDICAL SVCSNJNSUHCfalse
Brightwaters Gynecology PC
972 BRUSH HOLLOW ROADWESTBURYNY11590821883445MEDICAL SVCSNYNSUHCfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART VFormAndLineReferenceDesc
ExplanationTHIS ORGANIZATION IS AN AFFILIATE OF Northwell Health, Inc. ("northwell"). ORGANIZATIONS WITHIN northwell ROUTINELY PAY EXPENSES FOR VARIOUS AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.ExplanationTxt

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